| Entity Name: | RENATA TEYTELBAUM, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
RENATA TEYTELBAUM, M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 17 May 1993 (32 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 20 Jul 2017 (8 years ago) |
| Document Number: | P93000035541 |
| FEI/EIN Number |
593181230
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2310 West Bay Drive, suite B, Largo, FL, 33770, US |
| Mail Address: | 2840 West Bay Drive, #306, Belleair Bluffs, FL, 33770, US |
| ZIP code: | 33770 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972716660 | 2007-05-08 | 2007-07-16 | PO BOX 1228, DUNEDIN, FL, 346971228, US | 585 MAIN ST, SUITE 101, DUNEDIN, FL, 346984918, US | |||||||||||||||||||||||||
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| Phone | +1 727-734-6777 |
| Fax | 7277346440 |
Authorized person
| Name | RENATA TEYTELBAUM |
| Role | PRESIDENT |
| Phone | 7277346777 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME56418 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUECROSS BLUE SHIELD |
| Number | 40156 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Teytelbaum Renata | Director | 2840 West Bay Drive, #306, Belleair Bluffs, FL, 33770 |
| TEYTELBAUM RENATA | Agent | 2840 West Bay Drive, #306, Belleair Bluffs, FL, 33770 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000128383 | HOLISTIC MEDICINE OF BELLEAIR | ACTIVE | 2022-10-13 | 2027-12-31 | - | 2840 WEST BAY DRIVE, #306, BELLEAIR BLUFFS, FL, 33770 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-17 | 2840 West Bay Drive, #306, Belleair Bluffs, FL 33770 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-13 | 2310 West Bay Drive, suite B, Largo, FL 33770 | - |
| CHANGE OF MAILING ADDRESS | 2022-01-29 | 2310 West Bay Drive, suite B, Largo, FL 33770 | - |
| REINSTATEMENT | 2017-07-20 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-07-20 | TEYTELBAUM, RENATA | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-17 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-03-05 |
| REINSTATEMENT | 2017-07-20 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-13 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
